Managing intraocular lens dislocation with one-port pars plana vitrectomy under direct vision with microscope illumination
AIM: To describe a technique of managing intraocular lens(IOL)with deep dislocation in the vitreous cavity by performing pars plana vitrectomy(PPV)with only one pars plana incision under the direct illumination of the surgical microscope.<p>METHODS: Patients who had in-the-bag or out-of-the-ba...
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doaj-0b17d058d3e04ebba5c9599b7a0d529f2020-11-25T03:06:48ZengPress of International Journal of Ophthalmology (IJO PRESS)Guoji Yanke Zazhi1672-51231672-51232020-08-012081299130310.3980/j.issn.1672-5123.2020.8.01Managing intraocular lens dislocation with one-port pars plana vitrectomy under direct vision with microscope illuminationJin Yang0Hong-Fei Ye1Xiao-Di Qiu2Lei Cai3Yi Lu4Department of Ophthalmology, Eye, Ear, Nose, and Throat Hospital of Fudan University, Shanghai 200031, China; Myopia Key Laboratory of Health PR China, Shanghai 200031, ChinaDepartment of Ophthalmology, Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai 200092, ChinaDepartment of Ophthalmology, Eye, Ear, Nose, and Throat Hospital of Fudan University, Shanghai 200031, China; Myopia Key Laboratory of Health PR China, Shanghai 200031, ChinaDepartment of Ophthalmology, Eye, Ear, Nose, and Throat Hospital of Fudan University, Shanghai 200031, China; Myopia Key Laboratory of Health PR China, Shanghai 200031, ChinaDepartment of Ophthalmology, Eye, Ear, Nose, and Throat Hospital of Fudan University, Shanghai 200031, China; Myopia Key Laboratory of Health PR China, Shanghai 200031, ChinaAIM: To describe a technique of managing intraocular lens(IOL)with deep dislocation in the vitreous cavity by performing pars plana vitrectomy(PPV)with only one pars plana incision under the direct illumination of the surgical microscope.<p>METHODS: Patients who had in-the-bag or out-of-the-bag(spontaneous)IOL dislocation after uneventful phacoemulsification cataract extractions, with the dislocated IOL or IOL-capsular bag complex dropping completely into the vitreous since 2013 were included in our studies. The postoperative patients were followed up for 6mo. Detailed description of technique and retrospective description of eight typical cases were demonstrated in this study.<p>RESULTS:A total of 40 surgeries were conducted using this technique. The main possible predisposing conditions included: post-vitrectomy, posterior capsule rupture or broken zonules, a history of ocular trauma, long axial length, secondary IOL implantation, chronic uveitis, retinitis pigmentosa and post-glaucoma surgery. In all eyes, the IOLs were successfully removed. No intraoperative or postoperative complications related to the procedures occurred. The preoperative corrected distance visual acuity(CDVA)ranged from 20/133 to 20/25, and at 6mo postoperatively, the CDVA was similar or the same. The intraocular pressure was all within the normal range.<p>CONCLUSION: One-port PPV under direct vision with microscope illumination is a simple and safe surgical technique to managing IOL dislocation, which shortens the surgical time, and largely avoids surgical complications.http://ies.ijo.cn/cn_publish/2020/8/202008001.pdfintraocular lens dislocation; one-port; pars plana vitrectomy; cataract surgeryintraocular lens dislocationone-portpars plana vitrectomycataract surgery |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Jin Yang Hong-Fei Ye Xiao-Di Qiu Lei Cai Yi Lu |
spellingShingle |
Jin Yang Hong-Fei Ye Xiao-Di Qiu Lei Cai Yi Lu Managing intraocular lens dislocation with one-port pars plana vitrectomy under direct vision with microscope illumination Guoji Yanke Zazhi intraocular lens dislocation; one-port; pars plana vitrectomy; cataract surgery intraocular lens dislocation one-port pars plana vitrectomy cataract surgery |
author_facet |
Jin Yang Hong-Fei Ye Xiao-Di Qiu Lei Cai Yi Lu |
author_sort |
Jin Yang |
title |
Managing intraocular lens dislocation with one-port pars plana vitrectomy under direct vision with microscope illumination |
title_short |
Managing intraocular lens dislocation with one-port pars plana vitrectomy under direct vision with microscope illumination |
title_full |
Managing intraocular lens dislocation with one-port pars plana vitrectomy under direct vision with microscope illumination |
title_fullStr |
Managing intraocular lens dislocation with one-port pars plana vitrectomy under direct vision with microscope illumination |
title_full_unstemmed |
Managing intraocular lens dislocation with one-port pars plana vitrectomy under direct vision with microscope illumination |
title_sort |
managing intraocular lens dislocation with one-port pars plana vitrectomy under direct vision with microscope illumination |
publisher |
Press of International Journal of Ophthalmology (IJO PRESS) |
series |
Guoji Yanke Zazhi |
issn |
1672-5123 1672-5123 |
publishDate |
2020-08-01 |
description |
AIM: To describe a technique of managing intraocular lens(IOL)with deep dislocation in the vitreous cavity by performing pars plana vitrectomy(PPV)with only one pars plana incision under the direct illumination of the surgical microscope.<p>METHODS: Patients who had in-the-bag or out-of-the-bag(spontaneous)IOL dislocation after uneventful phacoemulsification cataract extractions, with the dislocated IOL or IOL-capsular bag complex dropping completely into the vitreous since 2013 were included in our studies. The postoperative patients were followed up for 6mo. Detailed description of technique and retrospective description of eight typical cases were demonstrated in this study.<p>RESULTS:A total of 40 surgeries were conducted using this technique. The main possible predisposing conditions included: post-vitrectomy, posterior capsule rupture or broken zonules, a history of ocular trauma, long axial length, secondary IOL implantation, chronic uveitis, retinitis pigmentosa and post-glaucoma surgery. In all eyes, the IOLs were successfully removed. No intraoperative or postoperative complications related to the procedures occurred. The preoperative corrected distance visual acuity(CDVA)ranged from 20/133 to 20/25, and at 6mo postoperatively, the CDVA was similar or the same. The intraocular pressure was all within the normal range.<p>CONCLUSION: One-port PPV under direct vision with microscope illumination is a simple and safe surgical technique to managing IOL dislocation, which shortens the surgical time, and largely avoids surgical complications. |
topic |
intraocular lens dislocation; one-port; pars plana vitrectomy; cataract surgery intraocular lens dislocation one-port pars plana vitrectomy cataract surgery |
url |
http://ies.ijo.cn/cn_publish/2020/8/202008001.pdf |
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